'Stat' Medication Administration Predicts Hospital Discharge
Autor: | Jerome Levine, Leslie Citrome, Ari Jaffe |
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Rok vydání: | 2009 |
Předmět: |
Adult
Hospitals Psychiatric Male medicine.medical_specialty medicine.medical_treatment Lorazepam Logistic regression Drug Prescriptions Injections Intramuscular Pharmacotherapy Internal medicine medicine Humans Hypnotics and Sedatives Psychiatric hospital Medical prescription Antipsychotic Psychomotor Agitation Retrospective Studies Psychiatric Status Rating Scales Inpatients business.industry Retrospective cohort study Odds ratio Length of Stay Middle Aged Patient Discharge Surgery Psychiatry and Mental health Logistic Models Treatment Outcome Female business Antipsychotic Agents medicine.drug |
Zdroj: | Psychiatric Quarterly. 80:65-73 |
ISSN: | 1573-6709 0033-2720 |
Popis: | Objective This study describes the use of “stat” medications for inpatients in a large state psychiatric hospital system, and examines the relationship between receipt of a “stat” for agitation and subsequent hospital discharge. Methods Use of “stat” medications in 2005 was retrospectively determined using a database that contains diagnosis and prescription information from 17 state-run adult civil facilities. A logistic regression model explored the relationship between receipt of a “stat” order for intramuscular preparations of either antipsychotics or lorazepam within the first 30 days of hospitalization and likelihood of hospital discharge by 6 months. Results Among 7,202 patients who received antipsychotic medication in 2005, 3,240 (45%) also received a “stat” psychotropic medication during that year. Among 40,651 stat orders, 19,142 (47%) were for intramuscular antipsychotics or lorazepam presumably given for the treatment of agitation. Among 1,673 patients admitted in the first 6 months of 2005, 415 (25%) received at least one such “agitation stat.” The percent discharged at six months among “agitation stat” receivers was 39%, compared to 69% among those who did not receive an “agitation stat” (chi-square = 115, df = 1, P |
Databáze: | OpenAIRE |
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